Social Worker (Clinical)

Address: 12119 Cherry Blossom St, San Antonio, TX 78247-4311

KIMBERLY GOODWIN LCSW-S PLLC (NPI# 1093309429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093309429
Entity Type Organization
Practice Address 12119 Cherry Blossom St
San Antonio
TX 78247-4311
Practice Telephone 2108573096
Mailing Address 12119 Cherry Blossom St
San Antonio
TX 78247-4311
Mailing Telephone 2108573096
Certification Date 2021-02-25
Enumeration Date 2021-02-25
Last Update Date 2021-02-25
Authorized Official Telephone 2108573096
Authorized Official Credential LCSW-S
Is Organization Subpart N


Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers

Other Provider Identifiers

Identifier State Issuer Type Code
378227803 TX MEDICAID

Office Location

Street Address 12119 CHERRY BLOSSOM ST
State TX
Zip Code 78247-4311

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1144811381 Jonathan Marcus Wilson Pharmacy Technician 17238 Bulverde Rd, San Antonio, TX 78247 2021-01-31
1245888189 Martha L Groves Occupational Therapy Assistant 4553 N Loop 1604 E, #1119, San Antonio, TX 78247 2019-09-03
1487134466 Minerva Desdemona Williams Occupational Therapy Assistant 1 Heartland Drive, San Antonio, TX 78247 2018-08-18
1881171965 Carlos C Mendoza IIi · Carlos C Mendoza IIi Pharmacist 17238 Bulverde Road, San Antonio, TX 78247 2018-07-23
1265920979 Jordan Marie Wimberley Behavior Analyst 15911 Nacogdoches Rd, San Antonio, TX 78247 2018-04-27
1730698903 Stefanie Anne Gray Psychologist · Clinical 14802 Jones Maltsberger Rd Ste 1201, San Antonio, TX 78247 2017-09-20
1710405618 Denisa Nicole Lopez Physical Therapist 16506 Blanco Key, San Antonio, TX 78247 2017-08-31
1558881169 Gloria Oluwatoyin Tolani Nurse Practitioner · Psychiatric/Mental Health 12915 Jones Maltsberger Rd Ste 102, San Antonio, TX 78247 2017-06-24
1114458361 H-E-B, Lp · H-E-B Bulverde & 1604 Optical Eyewear Supplier 17238 Bulverde Rd, San Antonio, TX 78247 2017-03-21
1376083899 H-E-B, Lp · Heb Pharmacy #732 Clinical Medical Laboratory 17238 Bulverde Road, San Antonio, TX 78247 2017-03-02
Find all providers in zip 78247

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518551076 Angela M Solis 4203 Woodcock Dr Ste 216, San Antonio, TX 78228-1312 2021-02-25
1649864190 Kenya P Rouska 4203 Woodcock Dr Ste 216, San Antonio, TX 78228-1312 2021-02-25
1760076632 Mental Instrumental Health Outreach, Pllc 7458 Louis Pasteur Dr Apt 806, San Antonio, TX 78229-4518 2021-02-22
1386236271 Mary Josie Klass 7272 Wurzbach Rd Ste 601, San Antonio, TX 78240-4803 2021-02-11
1245822261 Bianca Isabel Ramirez 7272 Wurzbach Rd Ste 601, San Antonio, TX 78240-4803 2021-02-10
1407448780 Christina Renee Landeros 4201 Medical Dr Ste 330, San Antonio, TX 78229-5805 2021-02-08
1972193035 Melissa Ann Tarver 126 Main Plz, San Antonio, TX 78205-2745 2021-01-22
1407446818 Priya Joseph 8400 Blanco Rd Ste 201, San Antonio, TX 78216-3055 2021-01-20
1710575287 Lilly Alaniz 555 W Bitters Rd Ste 101, San Antonio, TX 78216-7971 2021-01-09
1083202220 Jacob Lunderman 903 W Martin St, San Antonio, TX 78207-0903 2021-01-04
Find all providers in SAN ANTONIO


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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.